Monthly Archives: February 2017

Easy bruising

I normally just use a full blood count to investigate easy bruising; I’ve ummed and ahhhed about getting a clotting screen as well, but it seems like overkill to me. However, the authors of an article in the latest BMJ … Continue reading

Posted in Haematology, Investigations | Leave a comment

MRI for nerve root compression/sciatica?

Latest guidelines from our local hospital have some useful pointers for when to refer for MRI and when not to: Radicular thoracic pain should be referred for MRI. Sciatica, however, probably not – if <6/52 then wait and see, and … Continue reading

Posted in Credits 2017, Musculoskeletal, Radiology | Leave a comment


An old article; unearthed an old BMJ I’d saved but never got round to making notes on. BMJ 2014;349:g5340. Neutropenia is defined as a neutrophil count <1.5 x 10^9. It’s classified in increments of 0.5 (1 – 1.5 is mild, … Continue reading

Posted in Credits 2017, Haematology | Leave a comment

Squints in childhood

My son has a squint, so I’m familiar with treatment of childhood squints. However, I wasn’t previously aware of red flags to look for when children present with a squint: Abnormal red reflex Limited abduction Diplopia Headaches (the article just … Continue reading

Posted in Credits 2017, Ophthalmology, Paediatrics | Leave a comment

Lactose intolerance and cow’s milk allergy

I’ve been going through some old journals. The August ’16 BGJP had a useful article on lactose intolerance and cow’s milk protein allergy. Lactose intolerance A digestive problem caused by reduced ability to digest lactose (as distinct from cow’s milk … Continue reading

Posted in Allergies, Credits 2017, Food allergy, Food intolerances | 1 Comment

First, second, third and fourth diseases?

This is of no educational value whatsoever, but I couldn’t resist adding it. In the onrush of facts to be memorised to get through medical school, I spared very little time for wondering why slapped cheek is known as ‘fifth … Continue reading

Posted in Infectious Diseases, Uncategorized | Leave a comment